<html>
<head>
	<title>Customers Add</title>
</head>

<body>
	<h1>Test Add</h1>
	
	
	<form action="test_add_receive" method = "post">
		First Name: <input type="text" name="first_name">  <br />
		Last Name: <input type="text" name="last_name"> <br />
		
		<input type="submit" value="submit" name="submit"><br />
	</form>
	
	
</body>

</html>